Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession

Description:
The Immediate Dentoalveolar Restoration technique has been used for over 7 years, allowing the reconstruction of tissue losses in the same surgical session of dental extraction, implant placement and provisional crown installation, minimizing the treatment time and morbidity of the procedures.  This presentation shows the triple graft protocol and the result of hard and soft tissues stability when the IDR technique is applied. The triple graft contains cortico-cancellous bone and connective tissue in the same piece and it is indicated for cases of total or partial loss of buccal bone wall associated with gingival recession. To make the triple graft viable, some changes must be made to the IDR cortico-cancellous graft protocol, particularly in the way that the graft is harvested from the donor area and is stabilized in the receptor site. 

Date Added:
5/22/2014

Author(s):

José Carlos Martins da Rosa, DDS, MS José Carlos Martins da Rosa, DDS, MS
Dr. José Carlos Martins da Rosa received his DDS degree in 1988 from the Federal University of Santa Maria/RS - Brazil. In 1992 he got a post graduate certificate in Pe...
[read more]




Online Videos / Surgery / Soft Tissue / The Use of Triple Graft for Compromised Alveolar Sockets Associated with Gingival Recession




Questions & Comments
Maurice Salama - (3/21/2016 9:46 AM)

Julien; I believe that DoWell Dental Products sells these in the USA. You can access DoWell on the Product page here on dentalxp. good luck Dr. Salama

Julien Morneault - (3/21/2016 9:37 AM)

Very nice presentation! Could you tell me where in the US we can buy the IDR chisel kit? Thank you!

Rene Rebeil - (3/16/2015 8:28 PM)

Magnífico, José Carlos, te vi en el APS en Chicago en febrero 2015 y he leído tu libro cuidadosamente, sorprendente trabajo y excelente presentacion en ambos. Felicidades! Desde México.

Mohammad Khandaqji - (10/23/2014 10:22 PM)

Thank you.

filipe lopes - (6/11/2014 8:49 AM)

Excellent approach. Thank you so much for sharing.

Vicente Rodriguez - (6/11/2014 7:40 AM)

Excellent and beautiful I enjoy every second of it , congrat

Jose Carlos Rosa - (5/20/2014 1:47 PM)

kevin potocsky - First of all we must compact the bone particles over the surface of the implant covering partially the bone defect. After that the triple graft will be modeled according to the shape of the defect and sutured in the flap thus obtaining an excellent primary stability.

Jose Carlos Rosa - (5/20/2014 1:41 PM)

yaarob sara - The greatest advantage of using the triple graft from tuberosity is that we remove a graft in one piece taking advantage the nutritional characteristics of this graft and enhancing the repair process of soft and hard tissue.

kevin potocsky - (5/19/2014 1:55 PM)

how did you get primary stability of the bone part of the graft. were nt you worried about micromovement?

Related Videos
Prevention and Management of Peri-implant Soft Tissue Complications Premium Member Content

Prevention and Management of Peri-implant Soft Tissue Complications
A variety of soft tissue procedures have been employed for treatment of soft tissue and ridge defects around implant sites. Some of the limitations of current techniques include scar formation at recipient sites due to surface incisions, relapse of recession due to muscle pull during healing, wound dehiscence and graft exposure. This presentation will discuss the myriad flap and incision designs, tunnel techniques as well as grafting options and suturing.

Presented By:: Homa Zadeh, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
A Defined Algorithm for Regenerative Success Part 2 Premium Member Content

A Defined Algorithm for Regenerative Success Part 2
These presentations will focus open the above concepts but prioritize the diagnostic phase and surgical common denominators required for a successful regenerative outcome. Flap design, space maintenance, bone and membrane selections and tension free closure provides the template for all the new age materials and technologies to be successful in clinical practice.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Dento-Facial Esthetics in Search of Equilibrium Premium Member Content

Dento-Facial Esthetics in Search of Equilibrium
Dr. Rogerio Zambonato outlines new perspectives on dento-facial esthetic paradigms that aim at bringing into equilibrium function, health and comfort along with the alignment of dento-facial parameters of beauty.

Presented By:: Rogério Zambonato Freitas, DDS, MS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Esthetic Management for Compromised Extraction Sites - Part 2 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 2 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2 Premium Member Content

Modern Implant Dentistry: Rules of Engagement in the Esthetic Zone - Part 1 of 2
This presentation will focus on the interdisciplinary relationship of the restorative dentist, periodontist and orthodontist to reconstruct the soft tissue foundation for all of these restorative options in anterior tooth replacement. The diagnosis of deficiencies as well as the varied treatment options will be discussed in detail. This includes periodontal crown lengthening, esthetic periodontal plastic soft tissue grafting procedures as well as prescription adjunctive orthodontic tooth movement to manipulate the soft tissue foundation prior to or subsequent with the restorative options of implants, bridges, or pontic replacement.

Presented By:: Maurice Salama, DMD;David Garber, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Esthetic Management for Compromised Extraction Sites - Part 1 of 2 Premium Member Content

Esthetic Management for Compromised Extraction Sites - Part 1 of 2
Missing soft tissue is the main reason for compromised results in the aesthetic zone. But since the soft tissue has to be supported by a sufficient amount of bone, our focus has also to be on bone. Due to the fact that no bone-preservation technique (at the time of tooth extraction) available today, gives us the perfect result we need, augmentation procedures are still needed. Appropriate bone and soft tissue engineering in all three dimensions enhances the aesthetic performance of long-lasting restorations that blend in well and emerge from the periimplant sulcus in harmony with the neighboring teeth.

Presented By:: Ueli Grunder, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Achieving Predictable Connective Tissue Root Coverage

Achieving Predictable Connective Tissue Root Coverage
Gingival recession creates esthetic issues. These issues may be corrected from a restorative perspective by the placement of composite resin or ceramic over the exposed root. But this approach often results in a gingival-incisal length that does not blend esthetically with the adjacent teeth. Often accompanying the gingival recession is a decrease in the band of attached gingiva. The wider the band of attached gingiva, the more stable the long-term result. Therefore, surgical correction of the recession…

Author(s): Lee H. Silverstein, DDS, MS, FACD, FICD
View Article>>
A Novel Approach to Root Coverage: The Pinhole Surgical Technique

A Novel Approach to Root Coverage: The Pinhole Surgical Technique
Free connective tissue graft techniques are currently considered the most predictable surgical method for root coverage. However, morbidity associated with secondary graft sites has generated interest in other methods. The purpose of this study was to investigate the feasability of a novel surgical approach to root coverage: the pinhole surgical technique (PST). The retrospective study examined the results of PST used for 43 consecutive patients on 121 recession sites, of which 85 were Class I or II and 36 were Class III. The documented results indicate that PST holds promise as a minimally invasive, predictable, effective, and time and cost-effective method for obtaining optimal patient-based outcomes.

Author(s): John C. Chao, DDS
View Article>>
Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy

Advantages of the Root Submergence Technique for Pontic Site Development in Esthetic Implant Therapy
This article suggests a strategy to provide a more predictable protocol for esthetic implant treatment for multiple- tooth defects using the root submergence technique (RST). The RST maintains the natural attachment apparatus of the tooth in the pontic site, which in turn allows for complete preservation of the alveolar bone frame and assists in the creation of an esthetic result in adjacent multipletooth- replacement cases.

Author(s): Maurice Salama, DMD;Henry Salama, DMD;Akiyoshi Funato, D.D.S.;Tomohiro Ishikawa, DDS;David Garber, DMD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login · Register